{"id":6916,"date":"2020-04-23T17:51:48","date_gmt":"2020-04-23T20:51:48","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/"},"modified":"2020-05-03T18:25:15","modified_gmt":"2020-05-03T21:25:15","slug":"panniculite-deficit-alpha-1-antitrypsine-pathologie-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/","title":{"rendered":"Pathologie de la panniculite par d\u00e9ficit en alpha-1-antitrypsine"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contenu<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Basculer la table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Basculer<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/#Introduccion\" >introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/#Histologia-de-la-paniculitis-por-deficiencia-de-alfa-1-antitripsina\" >Histologie de la panniculite par d\u00e9ficit en alpha-1-antitrypsine<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/#Patologia-de-la-paniculitis-alfa-1-antitripsina\" >Pathologie de la panniculite \u00e0 alpha-1-antitrypsine<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/#Estudios-especiales-para-la-paniculitis-por-deficiencia-de-alfa-1-antitripsina\" >\u00c9tudes sp\u00e9ciales sur la panniculite par d\u00e9ficit en alpha-1-antitrypsine<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/paniculitis-por-deficiencia-de-alfa-1-antitripsina-patologia-2\/#Diagnostico-diferencial-de-la-paniculitis-por-deficiencia-de-alfa-1-antitripsina\" >Diagnostic diff\u00e9rentiel de panniculite par d\u00e9ficit en alpha-1-antitrypsine<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"213\">Panniculite<\/span> il s&#039;agit d&#039;une complication reconnue, mais rare, d&#039;un d\u00e9ficit en \u03b11-antitrypsine (A1AT). Il est principalement diagnostiqu\u00e9 dans le <span class=\"term\" data-term-id=\"779\">homozygote<\/span> Variante PiZZ.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-la-paniculitis-por-deficiencia-de-alfa-1-antitripsina\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> de panniculite par d\u00e9ficit en alpha-1-antitrypsine<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1419\">Histopathologique<\/span> L&#039;examen r\u00e9v\u00e8le g\u00e9n\u00e9ralement une panniculite lobulaire, mais une atteinte septale peut \u00eatre observ\u00e9e. Dans les premiers stades, <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophiles<\/span><\/span>  sont dispos\u00e9s de fa\u00e7on interstitielle entre <span class=\"term\" data-term-id=\"39\">collag\u00e8ne<\/span> faisceaux des profondeurs <span class=\"term\" data-term-id=\"1400\">treillis<\/span> <span class=\"term\" data-term-id=\"61\">derme<\/span>, suivi d&#039;un <span class=\"term\" data-term-id=\"443\">neutrophile<\/span> panniculite mixte avec lobulaire <span class=\"term\" data-term-id=\"403\">n\u00e9crose<\/span> (Figures 1, 2, 3). <span class=\"term\" data-term-id=\"1091\">Vascularite<\/span> il a \u00e9t\u00e9 d\u00e9crit en association avec des neutrophiles importants <span class=\"term\" data-term-id=\"543\">infiltration<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-la-paniculitis-alfa-1-antitripsina\"><\/span>Pathologie de la panniculite \u00e0 alpha-1-antitrypsine<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='a1antitrypsin-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1256583-5276943' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/a1antitrypsin-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1256583.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='a1antitrypsin-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1948228-5270798' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/a1antitrypsin-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1948228.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='a1antitrypsin-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6253004-2850498' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/a1antitrypsin-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6253004.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-la-paniculitis-por-deficiencia-de-alfa-1-antitripsina\"><\/span>\u00c9tudes sp\u00e9ciales sur la panniculite par d\u00e9ficit en alpha-1-antitrypsine<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Teintures et \/ ou cultures sp\u00e9ciales pour <span class=\"term\" data-term-id=\"1702\">microorganismes<\/span> peut \u00eatre utile si un <span class=\"term\" data-term-id=\"1544\">\u00e9tiologie<\/span> C&#039;est suspect.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-la-paniculitis-por-deficiencia-de-alfa-1-antitripsina\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> de panniculite par d\u00e9ficit en alpha-1-antitrypsine<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Neutrophiles <span class=\"term\" data-term-id=\"329\">maladie de peau<\/span>: Une corr\u00e9lation clinique peut \u00eatre n\u00e9cessaire pour exclure d&#039;autres dermatoses neutrophiles. Les patients sont g\u00e9n\u00e9ralement connus pour \u00eatre d\u00e9ficients en alpha-1-antitrypsine en cas de panniculite.<\/p>\n<p>Panniculite factice: les coupes doivent \u00eatre polaris\u00e9es pour exclure les mati\u00e8res \u00e9trang\u00e8res si une cause factuelle est suspect\u00e9e.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Paniculitis es una complicaci\u00f3n reconocida, pero rara, de la deficiencia de \u03b11-antitripsina (A1AT). Se diagnostica principalmente en el homocigoto Variante PiZZ. Histolog\u00eda de la paniculitis por deficiencia de alfa-1-antitripsina&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-6916","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6916","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=6916"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6916\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6916"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6916"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}